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Seth Daniel Ponder

Behavior Technician in Lynnwood, WA. Individual provider (NPI-1).

NPI number1669949541
StatusActive
Last updated in NPPESOct 29, 2018

Details

NPI
1669949541
Entity type
Individual (NPI-1)
Name
Seth Daniel Ponder
Sex
Male
Sole proprietor
No
Enumeration date
Oct 29, 2018
Last updated
Oct 29, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician36606836TXYes

Practice location

4100 194th St Sw Ste 100
Lynnwood, WA 98036-4613

Phone 425-426-2761

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

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